Free Medication Lock Boxes The Door County Alcohol and other Drug Coalition is offering free medications lock boxes (while supplies last). If you would like a free medication lock box please fill out the survey. Contact dcaodcoaltion@gmail.com to set up a pick up time. OK Question Title * 1. Who is this lock box for? You Loved One Neighbor Other (please specify) OK Question Title * 2. Why do you feel it is important to have a lock box? Secure Rx medications in my home or the home of a loved one I have had medications stolen To protect children or grandchildren Other (please specify) OK Question Title * 3. What is the gender of the person who will have the lock box? Male Female Prefer not to disclose Other (please specify) OK Question Title * 4. What is the approcimate age of the person who will have the lock box? 20's 30's 40's 50's 60's 70's 80's 90's Other (please specify) OK Question Title * 5. Are you a veteran? Yes No OK Question Title * 6. What is your race/ethnicity? White or Caucasian Black or African American Hispanic or Latino Asian or Asian American American Indian or Alaska Native Native Hawaiian or other Pacific Islander Prefer not to disclose Other (please specify) OK DONE
